| NPI | 1750528444 |
|---|---|
| Doing Business As | OLYMPIC WELLNESS CENTER CDP |
| Entity Type | Organization |
| Authorized Contact | TERRILYNN NICKLIN GRISWOLD Owner 360-782-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |